| NPI | 1518392331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIN SMITH Insurance Coordinator 479-250-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR3739) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2021-03-24 |